LISA M PROVENZA-TABAK

CANFIELD, OH
NPI1871583948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: OH  2661)
Enumeration Date2005-10-28
Last Update Date2008-06-11
Business Address
-- LISA M PROVENZA-TABAK D.C.
3680 STARRS CENTRE DR
CANFIELD, OH 44406-9514
Phone number: 330-702-0500
Mailing Address
-- LISA M PROVENZA-TABAK D.C.
3680 STARRS CENTRE DR
CANFIELD, OH 44406-9514
Phone number: 330-702-0500
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